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MedicaidBilling CodesHigh impact

Updated Approved List of Items

Maryland Medicaid·MD · Endocrinology, General Practice, Internal Medicine +1 more·Medical Supply and Equipment
Effective date
Mar 1, 2001
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medical Assistance Program updated their approved list of disposable medical supplies and durable medical equipment, removing unused procedure codes as part of HIPAA conversion preparation. The policy includes specific preauthorization requirements and maximum allowable prices for covered items.

Action Required

Action needed
Immediately: Billing team must update system to reflect only approved procedure codes from the updated list. Remove any deleted unused procedure codes from billing software and encounter forms. Ensure diabetic monitoring supplies are billed on HCFA 1500 forms using DMS/DME provider number, not as point-of-sale pharmacy items. Verify preauthorization requirements for items exceeding $300, incontinency pants, disposable underpads, and DME rentals after 3 months. Claims using deleted codes will be denied.

Affected Billing Codes

B4081
X1000
X1001
X1002
X1003
X1004
X1005
X1006
X1007
X1011
X1012
X1014
X1015
X1016
X1017
X1018
X1019
X1020
X1021
X1022
X1023
X1024
X1025
X1026
X1027
X1028
X1030
X1043
X1044
X1045
X1047
X1049
X1051
X1052
X1053
X1054
X1055
X1056
X1057
X1058
X1059
X1060
X1061
X1062
X1063
X1064
X1065
X1066
X1067
X1069
X1070
X1071
X1072
X1079